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Practice Guidelines

Meridian encourages the use of evidence-based Clinical Practice Guidelines (CPGs) by our providers. Our Quality Improvement Committee approves and adopts CPGs for prevention, diagnosis and management of medical and behavioral health conditions. These guidelines are developed by the nationally-recognized  Michigan Quality Improvement Consortium (MQIC), and correspond with well-accepted standards of care and clinical treatments for specific conditions. MQIC guidelines are reviewed and updated every two years, or sooner if necessary. Once approved by MQIC Medical Directors, the CPGs are sent to the National Guideline Clearinghouse (NGC) for inclusion on the US Department of Health and Human Services Agency for Healthcare Research and Quality. NGC prepares structured abstracts for consistency of guidelines on their website.


Meridian promotes implementation of these CPGs via dissemination among practitioners and uses numerous performance measures to provide feedback to achieve consistent and high quality health outcomes for our members. 

The MQIC CPGs are reviewed every two years and updated as necessary by the Meridian Physician Advisory Committee (PAC), and approved by the Quality Improvement Committee and Board of Directors. Click here for more information about MQIC. MQIC guidelines are now available through a free phone app. Search "MQIC" in either the App Store or Google Play and all guidelines can be downloaded right to your phone or tablet. 

These Clinical Practice Guidelines are the clinical basis for each of our Disease Management and Behavioral Health programs. Please click below to view the guidelines in electronic format. They are also available in hard copy upon request by contacting the Quality Department at 877-204-8997. 

Market Specific CPGs include, but are not limited to, the following:

 
Last Updated: 05/05/2022